NORTHSIDE HOSPITAL INC. NPI 1386062255

NPI Information

NPI: 1386062255
Provider Name: NORTHSIDE HOSPITAL, INC.

Doing Business As: NORTHSIDE/DUNWOODY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4553 N SHALLOWFORD RD
STE. 60-C
ATLANTA, GA
ZIP 30338
Phone: (770) 455-1983
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NORTHSIDE HOSPITAL, INC. is an ambulatory surgical clinic center in Atlanta, GA. NORTHSIDE HOSPITAL, INC. NPI is 1386062255. The provider is registered as an organization entity type.
The provider Is Doing Business As Northside/dunwoody Surgery Center.

The provider's business location address is:

4553 N SHALLOWFORD RD
STE. 60-C
ATLANTA, GA
ZIP 30338-408
Phone: (770) 455-1983
Fax: (770) 457-2823

The provider's authorized official is Jorge J Hernandez .
The authorized official title is Vp/chief Compliance Officer and has the following contact phone number (404) 851-6378.

The enumeration date for this NPI number is 3/28/2014 and was last updated on 3/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	044-281	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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